Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.11 / $3,841.00 / $9,661.00	Facility		$135.11	$3,841.00	$9,661.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $4,728.52 / $4,728.52 / $4,728.52	Facility	52	$4,728.52	$4,728.52	$4,728.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $148.06 / $1,716.00 / $6,213.00	Facility		$148.06	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $4,612.43	Facility		$120.00	$120.00	$4,612.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.25 / $94.25 / $94.25	Facility	52	$94.25	$94.25	$94.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $180.95 / $346.00	Facility		$115.00	$180.95	$346.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.88 / $98.88 / $639.45	Facility		$98.88	$98.88	$639.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.27 / $2,867.50 / $10,473.86	Facility		$1,995.27	$2,867.50	$10,473.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $555.00 / $4,612.43	Facility		$120.00	$555.00	$4,612.43
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $94.25 / $94.25 / $94.25	Facility	52	$94.25	$94.25	$94.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.71 / $125.71 / $430.86	Facility		$125.71	$125.71	$430.86